Chyle
| Chyle | |
|---|---|
 Chyle drained from someone with chylothorax, showing the characteristic milky appearance of the liquid. | |
| Details | |
| Pronunciation | /kaɪl/ |
| System | Lymphatic system |
| Location | Formed in the small intestine |
| Identifiers | |
| MeSH | D002913 |
| FMA | 61403 |
| Anatomical terminology | |
Chyle (from the
lacteals. The lipids in the chyle are colloidally suspended in chylomicrons
.
Clinical significance
A chyle
chylous ascites
, respectively.
Diagnosis of a chyle fistula may be accomplished by analysis of pleural/peritoneal fluid. Identifying the source (localizing the lymphatic defect) is often challenging, but may be accomplished with lymphangiography, which is occasionally associated with a serendipitous therapeutic effect (resolution of the leak), thought to be secondary to a sclerosant effect of the lymphangiography contrast.
Due to the extreme
total parenteral nutrition), as well as by the medications octreotide (a synthetic analogue of the hormone somatostatin)[3] and orlistat (a lipase inhibitor that decreases absorption of dietary fats). Permanent diversion of lymphatic fluid may be accomplished by thoracic duct
embolization (a needle-based procedure to occlude the duct by depositing glue/embolic material into it) or by thoracic duct ligation (an open surgical procedure to occlude the duct by suturing tightly around it).
See also
References
- ^ Mosby’s Medical, Nursing and Allied Health Dictionary, Fourth Edition, Mosby-Year Book Inc., 1994, p. 335
- ^ Tessier, Deron J, MD, Chyle fistula eMedicine; Jan 10, 2008; accessed Feb 2008
- PMID 15830574.